Vagal Stimulation Modulates Inflammation through a Ghrelin Mediated Mechanism in Traumatic Brain Injury

被引:81
作者
Bansal, Vishal [1 ]
Ryu, Seok Yong [1 ,2 ]
Lopez, Nicole [1 ]
Allexan, Sarah [1 ]
Krzyzaniak, Michael [1 ]
Eliceiri, Brian [1 ]
Baird, Andrew [1 ]
Coimbra, Raul [1 ]
机构
[1] Univ Calif San Diego, Dept Surg, Div Trauma Surg Crit Care & Burns, San Diego, CA 92103 USA
[2] Inje Univ, Dept Emergency Med, Sanggye Paik Hosp, Seoul, South Korea
关键词
traumatic brain injury; inflammation; vagus nerve; ghrelin; neuroenteric axis; INTESTINAL DYSFUNCTION; ORGAN DYSFUNCTION; NERVOUS-SYSTEM; RELEASE; ACETYLCHOLINE; CYTOKINES; PEPTIDE; SEPSIS; LEPTIN; TNF;
D O I
10.1007/s10753-011-9307-7
中图分类号
Q2 [细胞生物学];
学科分类号
071013 [干细胞生物学];
摘要
Traumatic brain injury (TBI) releases a cascade of inflammatory cytokines. Vagal nerve stimulation (VNS) and ghrelin have known anti-inflammatory effects; furthermore, ghrelin release is stimulated by acetylcholine. We hypothesized VNS decreases post-TBI inflammation through a ghrelin-mediated mechanism. TBI was created in five groups of mice: sham, TBI, TBI/ghrelin, TBI/VNS, and TBI/VNS/ghrelin receptor antagonist (GRa). Serum and tissue ghrelin, and serum TNF-alpha were measured. Ghrelin increased following VNS 2 h post-TBI compared to sham or TBI. At 6 h, TBI and TBI/VNS/GRa had increased TNF-alpha compared to sham while TBI/VNS and TBI/ghrelin had TNF-alpha level comparable to sham. The highest ghrelin was measured in stomach where TBI decreased ghrelin in contrast to an increase by VNS. In conclusion, VNS increased serum ghrelin and decreased TNF-alpha following TBI. This was abrogated with GRa. Our data suggests that ghrelin plays an important role in the anti-inflammatory effects of VNS following TBI.
引用
收藏
页码:214 / 220
页数:7
相关论文
共 31 条
[1]
Sympathetic overactivity and plasma leptin levels in Rett syndrome [J].
Acampa, Maurizio ;
Guideri, Francesca ;
Hayek, Jousef ;
Blardi, Patrizia ;
De Lalla, Arianna ;
Zappella, Michele ;
Auteri, Alberto .
NEUROSCIENCE LETTERS, 2008, 432 (01) :69-72
[2]
A critical review of the pathophysiology of dysautonomia following traumatic brain injury [J].
Baguley, Ian J. ;
Heriseanu, Roxana E. ;
Cameron, Ian D. ;
Nott, Melissa T. ;
Slewa-Younan, Shameran .
NEUROCRITICAL CARE, 2008, 8 (02) :293-300
[3]
The Hormone Ghrelin Prevents Traumatic Brain Injury Induced Intestinal Dysfunction [J].
Bansal, Vishal ;
Ryu, Seok Yong ;
Blow, Chelsea ;
Costantini, Todd ;
Loomis, William ;
Eliceiri, Brian ;
Baird, Andrew ;
Wolf, Paul ;
Coimbra, Raul .
JOURNAL OF NEUROTRAUMA, 2010, 27 (12) :2255-2260
[4]
Stimulating the Central Nervous System to Prevent Intestinal Dysfunction After Traumatic Brain Injury [J].
Bansal, Vishal ;
Costantini, Todd ;
Ryu, Seok Yong ;
Peterson, Carrie ;
Loomis, William ;
Putnam, James ;
Elicieri, Brian ;
Baird, Andrew ;
Coimbra, Raul .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2010, 68 (05) :1059-1064
[5]
Bansal V, 2009, J NEUROTRAUM, V26, P1353, DOI [10.1089/neu.2008.0858, 10.1089/neu.2008-0858]
[6]
Brain Trauma Foundation, 2007, J Neurotrauma, V24 Suppl 1, pS7
[7]
Efferent Vagal Nerve Stimulation Attenuates Gut Barrier Injury After Burn: Modulation of Intestinal Occludin Expression [J].
Costantini, Todd W. ;
Bansal, Vishal ;
Peterson, Carrie Y. ;
Loomis, William H. ;
Putnam, James G. ;
Rankin, Fermin ;
Wolf, Paul ;
Eliceiri, Brian P. ;
Baird, Andrew ;
Coimbra, Raul .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2010, 68 (06) :1349-1354
[8]
Beta-blocker exposure is associated with improved survival after severe traumatic brain injury [J].
Cotton, Bryan A. ;
Snodgrass, Kimberly B. ;
Fleming, Sloan B. ;
Carpenter, Robert O. ;
Kemp, Clinton D. ;
Arbogast, Patrick G. ;
Morris, John A., Jr. .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2007, 62 (01) :26-33
[9]
Hypothalamic Leptin Signaling Regulates Hepatic Insulin Sensitivity via a Neurocircuit Involving the Vagus Nerve [J].
German, Jonathan ;
Kim, Francis ;
Schwartz, Gary J. ;
Havel, Peter J. ;
Rhodes, Christopher J. ;
Schwartz, Michael W. ;
Morton, Gregory J. .
ENDOCRINOLOGY, 2009, 150 (10) :4502-4511
[10]
The autonomic nervous system regulates gastric ghrelin secretion in rats [J].
Hosoda, Hiroshi ;
Kangawa, Kenji .
REGULATORY PEPTIDES, 2008, 146 (1-3) :12-18